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Living with Charcot-Marie-Tooth disease axonal type 2K

A severe form of Charcot-Marie-Tooth disease that starts in infancy and affects the nerves to the muscles and senses.

Understanding Charcot-Marie-Tooth disease axonal type 2K

Charcot-Marie-Tooth disease axonal type 2K is a severe, early-onset form of axonal Charcot-Marie-Tooth disease, a nerve disease affecting movement and feeling.

It begins in the newborn and infant years. GARD lists nerve fiber loss, clubfeet, absent reflexes, and spine differences among its features.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Absent tendon reflexes
  • Clubfeet
  • Loss of nerve fibers (axonal neuropathy)
  • Clumsy walking in a straight line (tandem gait)
  • Differences in the spine
  • Delayed motor skills

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in GDAP1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    The Foundation for Peripheral Neuropathy may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: The Foundation for Peripheral Neuropathy
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with The Foundation for Peripheral Neuropathy and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can GDAP1 genetic testing confirm the diagnosis?
What therapy can help my child with motor skills?
How should the spine and feet be monitored?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesGDAP1

Changes in the GDAP1 gene cause this condition. It is inherited in an autosomal recessive way, so a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: arcmt2k; autosomal recessive axonal charcot-marie-tooth disease disease type 2k; autosomal recessive axonal charcot-marie-tooth disease type 2k; autosomal recessive axonal cmt4c4; autosomal recessive charcot-marie-tooth disease with hoarseness; charcot-marie-tooth disease type 2k

Patient organizations

Source: NIH GARD · Charcot-Marie-Tooth disease axonal type 2KGARD ID 12448 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Charcot-Marie-Tooth disease axonal type 2K.

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